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Get Credit Reference Template

Form Document Number 18001-04 Page 1 of 2 Revision 001 Document Title Credit Reference Form New Customer COMPANY INFORMATION Company Name Contact Name Address Telephone Fax Email Address PLEASE INCLUDE FAX NUMBER FOR ALL REFERENCES Trade Reference 1 Account Please fax completed form to Accounts Receivable at 508-540-8680 Disclaimer The information provided in the New Customer Credit References is confidential and will not be released to any third.

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